<div id="divScreenInfo" style="padding: 10px">
    <form method='post' action='validate'>
    <ul class="form">
        <li>
            <label>Screen Alias: </label>
            <input type='text' name='txtAlias' value='<?=$this->input->post('txtAlias')?>' id='txtAlias' />
            <?=isset($txtAlias)?'<span class="formError">'.implode(' | ', $txtAlias).'</span>':''?>
        </li>
        <li>
            <label>Address: </label>
            <input type='text' name='txtAddress' value='<?=$this->input->post('txtAddress')?>' id='txtAddress' />
            <?=isset($txtAddress)?'<span class="formError">'.implode(' | ', $txtAddress).'</span>':''?>
        </li>
        <li>
            <label>City: </label>
            <input type='text' name='txtCity' value='<?=$this->input->post('txtCity')?>' id='txtCity' />
            <?=isset($txtCity)?'<span class="formError">'.implode(' | ', $txtCity).'</span>':''?>
        </li>
        <li>
            <label>State: </label>
            <input type='text' name='txtState' id='txtState' value='<?=$this->input->post('txtState')?>' />
            <?=isset($txtState)?'<span class="formError">'.implode(' | ', $txtState).'</span>':''?>
        </li>
        <li>
            <label>Postal Code: </label>
            <input type='text' name='txtPostal' id='txtPostal' value='<?=$this->input->post('txtPostal')?>' />
        </li>
        <li>
            <label>Ad Capacity: </label>
            <input type='text' name='txtAdCapacity' id='txtAdCapacity' value='<?=$this->input->post('txtAdCapacity')?>' readonly/>
        </li>
        <li>
            <label>Ad Capacity Max: </label>
            <input type='text' name='txtAdCapacityMax' id='txtAdCapacityMax' value='<?=$this->input->post('txtAdCapacityMax')?>' readonly/>
        </li>
        <li>
            <label>Screen Size: </label>
            <input type='text' name='txtSize' id='txtSize' value='<?=$this->input->post('txtSize')?>' />
        </li>
        <li>
            <label>Status: </label>
            <input type='text' name='txtStatus' id='txtStatus' value='<?=$this->input->post('txtStatus')?>' />
        </li>
        
        <li><input type='submit' name='btnSubmit' id='btnSubmit' value='Add Screen' /></li>
    </ul>
    </form>
</div>